| NPI | 1801504857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09931958) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2026-04-07 |